MRI-Guided Prostate Boosts for Prostate Cancer
(BLaStM Trial)
Trial Summary
What is the purpose of this trial?
The purpose of this research study is to learn about: 1) improving control of prostate cancer using an extra high dose radiation treatment to the MRI defined high risk tumor areas, in addition to the standard radiation treatment to the rest of the prostate; 2) preserving quality of life by reducing dose to the nearby organs at risk around the prostate; and 3) establishing the relationship of pre- and post-treatment MRI to MRI-directed biopsy results at 2-2.5 years after treatment.
Do I need to stop my current medications for the trial?
The trial protocol does not specify if you need to stop your current medications. However, if you are on androgen deprivation therapy (ADT), there are specific guidelines you must follow. Please discuss with your doctor for more details.
Will I have to stop taking my current medications?
The trial protocol does not specify if you need to stop taking your current medications. However, if you are on androgen deprivation therapy (ADT), there are specific guidelines about its use during the trial.
What data supports the idea that MRI-Guided Prostate Boosts for Prostate Cancer is an effective treatment?
The available research shows that MRI-Guided Prostate Boosts, also known as Stereotactic Ablative Radiotherapy (SABR), is effective for treating prostate cancer, especially for low- and intermediate-risk patients. Studies indicate that SABR can deliver high doses of radiation with precision, similar to brachytherapy, but with fewer side effects. It is also less costly and uses fewer resources compared to other radiation techniques. While SABR is promising for high-risk patients, more data is needed before it can be widely recommended for them outside of clinical trials. Overall, SABR is a promising treatment option for prostate cancer, offering similar effectiveness to traditional methods with potential benefits in cost and side effects.12345
What data supports the effectiveness of the treatment MRI-Guided Prostate Boosts for Prostate Cancer?
Research shows that Stereotactic Ablative Body Radiotherapy (SABR), a component of the treatment, is promising for prostate cancer, offering similar effectiveness to brachytherapy with potentially fewer side effects. It is well-tolerated and may delay further treatment needs, although more studies are needed to confirm its long-term benefits.12345
What safety data exists for MRI-guided prostate boosts in prostate cancer treatment?
Stereotactic Ablative Radiotherapy (SABR) and its variants, such as Stereotactic Body Radiation Therapy (SBRT), have been studied for prostate cancer treatment. For low- and intermediate-risk patients, SABR has been compared to other radiotherapy methods in large randomized studies, showing it to be feasible and well-tolerated with careful planning. However, for high-risk patients, there is insufficient data to recommend its use outside clinical trials. Studies have shown that SABR is cost-effective and increases system capacity, with promising safety and efficacy results, especially when using advanced systems like CyberKnife. Long-term safety data at higher dose levels is still limited, but SABR is becoming a standard of care for low and intermediate-risk prostate cancer based on positive outcomes from various studies.15678
Is MRI-guided prostate boost treatment generally safe for humans?
Is the treatment HEIGHT RT, LEAD RT a promising treatment for prostate cancer?
Yes, HEIGHT RT, LEAD RT, which includes methods like Stereotactic Body Radiation Therapy (SBRT), is promising for treating prostate cancer. Studies show that using MRI guidance with this treatment can lead to better outcomes for patients. It helps doctors target the cancer more precisely, which can improve the effectiveness of the treatment and potentially reduce side effects.910111213
How is the MRI-Guided Prostate Boosts treatment different from other prostate cancer treatments?
This treatment uses MRI guidance to precisely target prostate cancer with high doses of radiation in fewer sessions, known as stereotactic body radiotherapy (SBRT). This approach can potentially improve treatment accuracy and outcomes compared to traditional methods, which often use more sessions with less precise imaging.910111213
Research Team
Alan Pollack, MD
Principal Investigator
University of Miami
Eligibility Criteria
Men aged 35-85 with confirmed prostate cancer (adenocarcinoma), T1-T3 stage, Gleason score 6-10, and PSA ≤100 ng/mL. No metastasis or previous radical prostate surgery/radiotherapy. Androgen deprivation therapy is allowed if decided before joining. Participants must be able to consent and willing to complete quality of life assessments.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either HEIGHT or LEAD radiotherapy, consisting of 39 fractions over approximately 7.5 to 8 weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment, including MRI-directed biopsy results at 2-2.5 years
Long-term Monitoring
Participants' health-related quality of life and other outcomes are assessed up to 5.25 years post-treatment
Treatment Details
Interventions
- HEIGHT RT
- LEAD RT
HEIGHT RT is already approved in European Union, United States, Canada for the following indications:
- Prostate cancer
- Lung cancer
- Liver cancer
- Pancreatic cancer
- Prostate cancer
- Lung cancer
- Liver cancer
- Pancreatic cancer
- Prostate cancer
- Lung cancer
- Liver cancer
- Pancreatic cancer
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Miami
Lead Sponsor